# US 11,298,450 B2 · Apparatus for the non-invasive measurement of the blood flow

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- Number: US 11,298,450 B2
- Document ID: US11298450B2
- Status: Granted
- Kind: B2
- Application number: 15/316,604
- Filed: 2015-06-01
- Published: 2018-07-05
- Granted: 2022-04-12
- Earliest claimed: 2014-06-06
- Assignees: Fresenius Medical Care Deutschland GmbH
- Applicants: Fresenius Medical Care Deutschland GmbH
- Inventors: Pascal Kopperschmidt; Carsten Mueller
- Web page: https://patentgrep.com/patent/US11298450B2

## CPC

- A61M 1/3656: {Monitoring patency or flow at connection sites; Detecting disconnections}
- A61B 5/0036: {including treatment, e.g., using an implantable medical device, ablating, ventilating}
- A61B 5/026: Measuring blood flow {(A61B3/1233, A61B3/1241 take precedence)}
- A61B 5/6831: {Straps, bands or harnesses}
- A61M 1/3655: {Arterio-venous shunts or fistulae}
- A61B 5/015: {By temperature mapping of body part}
- A61B 5/0261: {using optical means, e.g. infrared light}
- A61B 5/14552: {Details of sensors specially adapted therefor}
- A61B 5/282: Holders for multiple electrodes (for introduction into the body A61B5/287)
- A61B 5/335: using integrated circuit memory devices
- A61B 5/352: Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
- A61B 5/4836: {Diagnosis combined with treatment in closed-loop systems or methods (A61B5/0036 takes precedence)}
- A61B 5/6802: {Sensor mounted on worn items}
- A61B 2562/0261: Strain gauges
- A61B 2562/046: in a matrix array
- A61B 2562/066: in a matrix array
- A61B 2562/164: the sensor is mounted in or on a conformable substrate or carrier
- A61M 2205/3306: Optical measuring means
- A61M 2205/3331: Pressure; Flow
- A61M 2205/3334: Measuring or controlling the flow rate
- A61M 2205/3368: Temperature
- A61M 2205/3569: sublocal, e.g. between console and disposable
- A61M 2205/3673: thermo-electric, e.g. Peltier effect, thermocouples, semi-conductors
- A61M 2205/52: with memories providing a history of measured variating parameters of apparatus or patient
- A61M 2205/702: automatically during use
- A61M 2230/04: Heartbeat characteristics, e.g. ECG, blood pressure modulation
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An apparatus for the non-invasive measurement of the blood flow through a shunt of a patient has at least one bandage which can be worn by the patient, as well as a plurality of sensors which are arranged in or at the bandage, which are arranged in at least one multidimensional matrix, and which are configured such that they create a multidimensional matrix of measured values of at least one parameter detected by the sensors.

## Claims

### Claim 1

An apparatus for non-invasive measurement of blood flow through a shunt of a patient, said apparatus comprising:
a bandage configured to be worn by the patient;
a plurality of skin stretching sensors arranged at the bandage, the skin stretching sensors being arranged in a multidimensional matrix, and being configured to measure values resulting from a multidimensional pattern of skin stretching that is associated with oscillating variations in blood pressure and ultimately the blood flow through the shunt;
an evaluation unit configured to process the measured values including generating a spatio-temporal pattern of the spatial stretching of a surface of the skin which reproduces the measured values of the skin stretching sensors simultaneously, and comparing the measured stretching values with reference values so as to generate a pattern providing a comparison of the measured stretching values relative to the reference values, the generated pattern including white and black boxes, with each white box corresponding to a pressure value which lies below a reference value and each black box corresponding to a pressure value which lies above a reference value;
a transmission unit configured to be in communication with the evaluation unit and to transmit the generated pattern therefrom; and
a receiver configured to receive the generated pattern transmitted by the transmission unit so as to facilitate treatment of the patient based on the non-invasive measurement.

### Claim 2 (depends on 1)

The apparatus in accordance with claim 1, wherein the matrix is a two-dimensional matrix and the pattern is a two-dimensional pattern.

### Claim 3 (depends on 1)

The apparatus in accordance with claim 1, further comprising sensors for detecting a heart activity of the patient.

### Claim 4 (depends on 1)

The apparatus in accordance with claim 1, wherein the measured values are absolute values.

### Claim 5 (depends on 1)

The apparatus in accordance with claim 1, further comprising a memory to store the measured values.

### Claim 6 (depends on 5)

The apparatus according to claim 5, Therein the memory is arranged at the bandage.

### Claim 7 (depends on 1)

The apparatus according to claim 1, wherein the transmission unit is configured for wireless transmission.

### Claim 8 (depends on 1)

The apparatus in accordance with claim 1, wherein the evaluation unit is arranged at the bandage.

### Claim 9 (depends on 1)

The apparatus in accordance with claim 1, further comprising a Peltier element as an energy source.

### Claim 10

A method of non-invasive measurement of blood flow through a shunt of a patient, said method comprising:
providing an apparatus for the non-invasive measurement of the blood flow through the shunt, the apparatus including
a bandage configured to be worn by the patient and having a plurality of skin stretching sensors arranged at the bandage, the skin stretching sensors being arranged in a multidimensional matrix, and being configured to measure values resulting from a multidimensional pattern of skin stretching that is associated with oscillating variations in blood pressure and ultimately the blood flow through the shunt,
An evaluation unit,
a transmission unit in communication with the evaluation unit, and
a receiver,
applying the bandage to the patient;
with the evaluation unit, processing the measured values, including generating a spatio-temporal pattern of the spatial stretching of a surface of the skin which reproduces the measured values of the skin stretching sensors simultaneously, and comparing the measured stretching values with reference values so as to generate a pattern providing a comparison of the measured stretching values relative to the reference values, the generated pattern including white and black boxes, with each white box corresponding to a pressure value which lies below a reference value and each black box corresponding to a pressure value which lies above a reference value;
with the transmission unit, transmitting the generated pattern therefrom; and
with the receiver, receiving the generated pattern transmitted by the transmission unit so as to facilitate treatment of the patient based on the non-invasive measurement.

### Claim 11 (depends on 10)

The method according to claim 10, wherein the transmitting is wireless.
